<{include file="admin:common/header.html"}>
<div class="page-title">
    <table width="100%" align="center" cellpadding="0" cellspacing="0" >
      <tr>
        <td width="30" align="right"><img src="<{$pager.url}>/images/main-h5-ico.gif" alt="" /></td>
        <th><{$MOD.title}></th>
        <td align="right"><{link ctl="topics/topics:index" priv="hidden" class="button"}></td>
        <td width="15"></td>
      </tr>
    </table>
</div>
<div class="page-data"><form action="?topics/topics-create.html" mini-form="topics-form" method="post" ENCTYPE="multipart/form-data">
<table width="100%" border="0" cellspacing="0" class="table-data form">
<tr>
    <th><span class="red">*</span>用户ID：</th>
    <td>
        <input type="hidden" name="data[uid]" value="<{$detail.uid}>" id="select_member_uid_id" />
        <input type="text" value="<{$member.uname}>" id="select_member_uid_name" class="input w-300" readonly/>
        <{link ctl="member/member:dialog" arg0="member" select="mini:#select_member_uid_id,#select_member_uid_name/N/选择用户" title="选择用户" class="button"}>
    </td>
</tr>
<tr><th><span class="red">*</span>姓名：</th><td><input type="text" name="data[name]" value="<{$detail.name|default:''}>" class="input w-300"/></td></tr>
<tr><th><span class="red">*</span>银行卡：</th><td><input type="text" name="data[card]" value="<{$detail.card|default:''}>" class="input w-300"/></td></tr>
<tr><th class="w-100">学历：</th><td><select name="data[education]"><option value="">NULL</option></select></td></tr>
<tr><th class="w-100">婚姻状况：</th><td><select name="data[marriage]"><option value="">NULL</option></select></td></tr>
<tr><th class="w-100">城市ID：</th><td><{widget id="data/region" city_id=$detail.city_id level=2}></td></tr>
<tr><th class="w-100">地区：</th><td><{widget id="data/region" city_id=$detail.area_id value=$detail.area_id}></td></tr>
<tr><th>地址：</th><td><input type="text" name="data[addr]" value="<{$detail.addr|default:''}>" class="input w-300"/></td></tr>
<tr><th>工作单位：</th><td><input type="text" name="data[work]" value="<{$detail.work|default:''}>" class="input w-300"/></td></tr>
<tr><th>单位地址：</th><td><input type="text" name="data[c_addr]" value="<{$detail.c_addr|default:''}>" class="input w-300"/></td></tr>
<tr><th>单位电话：</th><td><input type="text" name="data[c_mobile]" value="<{$detail.c_mobile|default:''}>" class="input w-300"/></td></tr>
<tr><th>担任职务：</th><td><input type="text" name="data[position]" value="<{$detail.position|default:''}>" class="input w-300"/></td></tr>
<tr><th>家庭联系人：</th><td><input type="text" name="data[home_person]" value="<{$detail.home_person|default:''}>" class="input w-300"/></td></tr>
<tr><th class="w-100">关系：</th><td><select name="data[home_relationship]"><option value="">NULL</option></select></td></tr>
<tr><th>联系手机：</th><td><input type="text" name="data[home_phone]" value="<{$detail.home_phone|default:''}>" class="input w-300"/></td></tr>
<tr><th>其他联系人：</th><td><input type="text" name="data[orter_person]" value="<{$detail.orter_person|default:''}>" class="input w-300"/></td></tr>
<tr><th class="w-100">关系：</th><td><select name="data[orter_relationship]"><option value="">NULL</option></select></td></tr>
<tr><th>联系手机：</th><td><input type="text" name="data[orter_phone]" value="<{$detail.orter_phone|default:''}>" class="input w-300"/></td></tr>
<tr><th>身份证正面：</th><td><input type="text" name="data[photo1]" value="<{$detail.photo1}>" <{if $detail.photo1}>photo="<{$pager.img}>/<{$detail.photo1}>"<{/if}> class="input w-300" />&nbsp;&nbsp;&nbsp;<input type="file" name="data[photo1]" class="input w-100" /></td></tr>
<tr><th>身份证反面：</th><td><input type="text" name="data[photo2]" value="<{$detail.photo2}>" <{if $detail.photo2}>photo="<{$pager.img}>/<{$detail.photo2}>"<{/if}> class="input w-300" />&nbsp;&nbsp;&nbsp;<input type="file" name="data[photo2]" class="input w-100" /></td></tr>
<tr><th>手持身份证：</th><td><input type="text" name="data[photo3]" value="<{$detail.photo3}>" <{if $detail.photo3}>photo="<{$pager.img}>/<{$detail.photo3}>"<{/if}> class="input w-300" />&nbsp;&nbsp;&nbsp;<input type="file" name="data[photo3]" class="input w-100" /></td></tr>
<tr><th class="w-100">开户银行：</th><td><select name="data[bank]"><option value="">NULL</option></select></td></tr>
<tr><th>银行卡号：</th><td><input type="text" name="data[bank_card]" value="<{$detail.bank_card|default:''}>" class="input w-300"/></td></tr>
<tr><th>银行预留手机号：</th><td><input type="text" name="data[mobile]" value="<{$detail.mobile|default:''}>" class="input w-300"/></td></tr>
<tr>
	<th>审核：</th>
	<td>
		<label><input type="radio" name="data[audit]" checked="checked" value="1"/>发布</label>&nbsp;&nbsp;
		<label><input type="radio" name="data[audit]" value="0"/>待审</label>
	</td>
</tr>
<tr><th>备注：</th><td><input type="text" name="data[remark]" value="<{$detail.remark|default:''}>" class="input w-300"/></td></tr>
<tr><th><span class="red">*</span>创建时间：</th><td><input type="text" name="data[dateline]" value="<{$detail.dateline|default:''}>" class="input w-300"/></td></tr>
    <tr><th class="clear-th-bottom"></th><td class="clear-td-bottom" colspan="10"><input type="submit" class="bt-big" value="提交数据" /></td></tr>
</table>
</form></div>

<{include file="admin:common/footer.html"}>